CAJ | 학술논문

目的探讨早期护理干预对预防重型颅脑损伤后并发肺部感染的影响.方法回顾分析2006年1月至2008年1月收治的重型颅脑损伤患者50例为对照组,给予常规护理;对2008年2月至2011年1月收治的重型颅脑损伤患者50例为干预组,除常规护理外,还在进行护理评估后立即采取预见性护理措施,定期空气消毒、保持环境清洁、加强气道管理、定时翻身拍背、保持呼吸道通畅、定时雾化吸入、加强口腔护理、加强物品的消毒处理、严格无菌技术操作等.对两组患者预防肺部感染的效果,肺部感染的发生率及治疗结果进行比较研究.结果护理干预组肺部感染的发生率明显低于对照组,P值＜0.05,且治疗效果明显优于对照组,P值＜0.01.结论早期护理干预能有效预防重型颅脑损伤后肺部感染的发生,降低死亡率,对促进患者康复、提高患者生命质量具有重要意义.
목적 탐토조기호리간예대예방중형로뇌손상후병발폐부감염적영향.방법 회고분석2006년1월지2008년1월수치적중형로뇌손상환자50례위대조조,급여상규호리;대2008년2월지2011년1월수치적중형로뇌손상환자50례위간예조,제상규호리외,환재진행호리평고후립즉채취예견성호리조시,정기공기소독、보지배경청길、가강기도관리、정시번신박배、보지호흡도통창、정시무화흡입、가강구강호리、가강물품적소독처리、엄격무균기술조작등.대량조환자예방폐부감염적효과,폐부감염적발생솔급치료결과진행비교연구.결과 호리간예조폐부감염적발생솔명현저우대조조,P치＜0.05,차치료효과명현우우대조조,P치＜0.01.결론 조기호리간예능유효예방중형로뇌손상후폐부감염적발생,강저사망솔,대촉진환자강복、제고환자생명질량구유중요의의.
Objective To investigate the influence of early nursing intervention on prevention of lung infection secondary to severe brain injury. Methods 50 patients with severe brain injury who had been hospitalized during the period of January 2006 to January 2008 were assigned to the control group and received routine care; and the other 50 who had been treated during the period of February 2008 to April 2010 were assigned to the intervention group. For the latter group, in addition to routine care, we administered predictable care immediately after nursing assessment, disinfected air regularly, maintained clean environment, enhanced airway management, turned the patients over and tapped their back regularly to keep the airway clear, administered inhalation therapy with medicine by a nebulizer, strengthened oral care and disinfection of goods, and strictly performed aseptic technique. The effectiveness of prevention of lung infection, and the incidence rate and the efficacy of treatment were compared between the two groups. Results The incidence of lung infection was significantly lower in the intervention group than in the control group ( P＜ 0.05 ), and the efficacy was better in the intervention group ( P ＜ 0.01 ). Conclusions Early nursing intervention can effectively prevent the genesis of lung infection secondary to severe brain injury and reduce the mortality rate, playing an important role in accelerating rehabilitation and in improveing quality of life in patients.